营养不良风险和术后并发症对接受选择性大手术的胃肠道癌症患者的影响:一项前性观察多中心研究
Manuel Durán-Poveda1,2, Gil Rodríguez Caravaca2,3, Alejandro Suárez-de-la-Rica4,5
1Department of Digestive and General Surgery, Hospital Universitario Rey Juan Carlos, 28933 Madrid, Spain.
胃肠道癌症手术患者面临高并发症率,特别是手术部位感染 (SSI) 等感染. 严重的营养风险显著增加了这些风险,突出了营养查的必要性.
科学领域:
- 在瘤学瘤学.
- 外科胃肠道外科手术
- 营养科学 营养科学
背景情况:
- 胃肠道癌症手术与重大外科手术期间的风险有关.
- 营养状况是影响这些患者结果的潜在因素.
研究的目的:
- 在胃肠道癌症患者中描述术后并发症.
- 研究营养风险与这些并发症之间的关系.
主要方法:
- 在西班牙对469名胃肠道癌症患者进行了前性观察性多中心研究.
- 收集住院和手术后30天期间并发症的数据.
- 使用营养不良普遍查工具 (MUST) 评估营养状况.
主要成果:
- 结肠直肠和胃癌是最常见的.
- 整体住院并发症率为31.1%,感染 (68.5%) 和手术部位感染 (SSI) 是最常见的.
- 与没有风险 (9.2%) 相比,患有严重营养风险的患者 (MUST评分≥2) 的并发症率明显更高 (24.7%).
结论:
- 在胃肠癌手术中,手术部位感染和其他并发症的发生率很高.
- 严重的营养风险是增加外科手术后并发症的重要预测因素.
- 常规的营养查和有针对性的术后支持对于优化结果至关重要.
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